Preparing for your appointmentBy Mayo Clinic staff
Your family doctor or general practitioner may be the first doctor to bring up bone density testing. However, you may then be referred to a doctor who specializes in metabolic disorders (endocrinologist) or a doctor who specializes in diseases of the joints, muscles or bones (rheumatologist).
Here's some information to help you get ready for your appointment, and what to expect from your doctor.
What you can do
- Write down any symptoms you've noticed, though it's possible you may not have any.
- Write down key personal information, including any major stresses or recent life changes.
- Make a list of all medications, vitamins and supplements that you're currently taking or have taken in the past. It's especially helpful if you record the type and dose of calcium and vitamin D supplements, because there are many different preparations available. If you're not sure what information your doctor might need, you can bring the bottles with you.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For osteoporosis, some basic questions to ask your doctor include:
- Do I have osteoporosis?
- What kinds of tests do I need to confirm the diagnosis?
- What treatments are available, and which do you recommend?
- What types of side effects can I expect from treatment?
- Is there a generic alternative to the medicine you're prescribing me?
- Are there any alternatives to the primary approach that you're suggesting?
- I have other health conditions. How can I best manage them together?
- Are there any activity restrictions that I need to follow?
- Do I need to make changes in my diet?
- Do I need to take supplements?
- Is there a physical therapy program that would benefit me?
- What can I do to prevent falls?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time that you don't understand something.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- Have you experienced any fractures or broken bones?
- Have you noticed a loss of height?
- How is your diet? Do you think you get enough calcium? Vitamin D?
- Do you take any vitamins or supplements?
- How often do you exercise?
- Did you exercise more or less in the past?
- Does anyone in your family have osteoporosis?
- Has anyone in your family had bone fractures?
- Have you ever had stomach or intestinal surgery?
- Do you have chronic diarrhea?
- Have you taken corticosteroid medications (prednisone, cortisone) as pills, injections, suppositories or creams?
- Osteoporosis: Handout on health. NIH Osteoporosis and Related Bone Diseases National Resource Center. http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/osteoporosis_hoh.asp. Accessed Oct. 25, 2011.
- Rosen C. Osteoporosis. In: Goldman L, et al. Cecil Medicine. 24th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Oct. 25, 2011.
- De Paula FJ, et al. Osteoporosis. In: Bope ET, et al. Conn's Current Therapy. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4377-0986-5..C2009-0-38984-9--TOP&isbn=978-1-4377-0986-5&about=true&uniqId=236797353-5. Accessed Oct. 25, 2011.
- Weppner DM, et al. Osteoporosis. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Oct. 25, 2011.
- Koch TR, et al. Postoperative metabolic and nutritional complications of bariatric surgery. Gastroenterology Clinics of North America. 2010;39:109.
- Rosen HN. Bisphosphonates in the management of osteoporosis in postmenopausal women. http://www.uptodate.com/home/index.html. Accessed Oct. 26, 2011.
- Finkelstein JS. Treatment of osteoporosis in men. http://www.uptodate.com/home/index.html. Accessed Oct. 26, 2011.
- Rosen CJ. Parathyroid hormone therapy for osteoporosis. http://www.uptodate.com/home/index.html. Accessed Oct. 26, 2011.
- Rosen HN. Denosumab for osteoporosis. http://www.uptodate.com/home/index.html. Accessed Oct. 26, 2011.
- Kennel KA (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 27, 2011.
- National Osteoporosis Foundation: Community groups. http://www.nof.org/community/communitygroups. Accessed Oct. 26, 2011.
- Dietary reference intakes for calcium and vitamin D. Institute of Medicine. http://www.iom.edu/Reports/2010/Dietary-Reference-Intakes-for-Calcium-and-Vitamin-D/Report-Brief.aspx. Accessed Oct. 27, 2011.
- AskMayoExpert. How much vitamin D is adequate to prevent vitamin D deficiency? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2011.
- Rohren CH (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 2, 2011.